Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $707.95 / $6,918.31	Facility		$23.99	$707.95	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $47.86 / $112.20	Professional		$26.92	$47.86	$112.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.20 / $30.20 / $117.49	Professional	50	$30.20	$30.20	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $36.31	Professional		$22.39	$27.54	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $47.86	Facility		$34.67	$34.67	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $107.15	Professional		$23.44	$46.77	$107.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,162.28	Facility		$1,258.93	$1,819.70	$3,162.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $54.95	Professional		$19.50	$23.44	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $33.11	Professional		$21.88	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,548.82 / $3,890.45	Facility		$199.53	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $70.79	Professional		$25.70	$39.81	$70.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.18	Professional		$21.88	$21.88	$28.18